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ANGELITA MOORE
NPI 1811453087
Nurse Practitioner - Family in Fort Worth, TX

Active since February 13, 2019PECOS EnrolledAccepts Medicare Assignment
1513 E PRESIDIO ST STE B, FORT WORTH, TX 76102(817) 702-1100 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2024, Feb 13, 2019 (2 updates tracked since 2019).

About Angelita Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELITA MOORE (NPI 1811453087) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP139479) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1811453087
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELITA MOORE
Location Address1513 E PRESIDIO ST STE BFort Worth, TX 76102-6735
Mailing Address200 W Magnolia Ave Ste 201Fort Worth, TX 76104-7657 · (817) 702-2977
Phone(817) 702-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 13, 2019
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1811453087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP139479
1513 E PRESIDIO ST STE B, Fort Worth, TX 76102
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1255 W Lebanon Ste 116Frisco, TX 75036-3412 · Phone (469) 405-0500 · Fax (469) 405-0501
Location 2650 Maryville University DrSaint Louis, MO 63141-5849 · Phone (314) 529-9300
Location 31014 E Wheatland Rd Ste ADuncanville, TX 75116-4914 · Phone (214) 550-2330 · Fax (214) 550-2331
Location 47505 Glenview Dr Ste 151Richland Hills, TX 76180-8335 · Phone (817) 284-9922 · Fax (817) 284-9926
Location 51251 E Red Bird Ln Ste ADallas, TX 75241-2008 · Phone (214) 344-0608 · Fax (214) 243-2142

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angelita Moore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214366467
PECOS Enrollment IDI20200409000740
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY LAINE WILSON LCSW
Social Worker (Clinical)
1513 E PRESIDIO ST STE B
FORT WORTH, TX 76102
Tarrant County (817) 702-7345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelita Moore's NPI number?

The NPI number for Angelita Moore is 1811453087. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Angelita Moore located?

Angelita Moore practices at 1513 E Presidio St Ste B, Fort Worth, TX 76102. The listed phone number is (817) 702-1100.

What is Angelita Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angelita Moore enrolled in Medicare?

Yes. Angelita Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Angelita Moore accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Angelita Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Angelita Moore affiliated with any hospitals?

According to CMS data, Angelita Moore is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Angelita Moore was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.